Supporting Families June 2016 Summary of wave 1 findings for - - PowerPoint PPT Presentation

Qualitative Evaluation of the new Troubled Families programme

Supporting Families

June 2016

Summary of wave 1 findings for Barnsley

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Background and methodology

• Ipsos MORI has been commissioned to conduct quantitative and qualitative research as part of the

evaluation of the new Troubled Families programme. Broadly speaking, the qualitative research seeks to better understand the delivery of the Troubled Families programme and its impact on service transformation, and to provide descriptive accounts of how the Troubled Families programme is received by families.

• This report presents key findings for Barnsley from qualitative interviews conducted in phase 1 : wave 1 of

the Troubled Families qualitative research.

• Where appropriate, findings from the quantitative surveys* undertaken by Ipsos MORI are also

incorporated.

• Six in-depth family visits and six face-to-face interviews with practitioners were conducted in Barnsley.
• Local staff and practitioners were selected in conjunction with Barnsley Council and the Ipsos MORI

qualitative research team to ensure coverage across the council and partner agencies.

• Both staff and families will be recontacted this year with a view to conduct a further interview to understand

what, if anything, has changed in the intervening period.

*Surveys of Troubled Families Coordinators, Employment Advisers and keyworkers were conducted over the period October – November 2015. These staff surveys are designed to run annually over the five years of the evaluation; this is the first in the series

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A note on this report and interpretation of findings

• Qualitative findings are descriptive and illustrative, not statistically representative. Messages

communicated in this report are based on the themes across the interviews and family visits undertaken.

• It is the range of views which is important, not how many participants hold each view. It is not possible

to quantify findings or suggest they represent the distribution of attitudes among all relevant stakeholders or families involved in the new programme in the respective case study areas.

• This report is designed to draw on findings from across all nine case study areas, highlighting specific

areas of the programme where things are working well and less well, and which are useful to local authorities (as opposed to a comprehensive summary). Please also note that these findings are not a judgement or endorsement of the local programme, but a descriptive account based on initial

• bservations.
• We have, as much as possible, tried to reflect on progress in Barnsley specifically, but note that we have

had to be careful with how findings are presented to guarantee the anonymity of practitioners and families who kindly agreed to take part. For a more comprehensive picture of the expanded programme at this interim stage, please refer to the full interim report . Where the name of your local authority is not indicated, the report presents overall findings.

• Lastly, please note that these are interim findings – the purpose of the evaluation is to measure change
• ver time, and we will provide you with full findings on completion of the second wave of research

being conducted later this year.

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Service Transformation in the new Troubled Families Programme

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Service transformation in context

• Service transformation is one of the core objectives
• f the new Troubled Families Programme. Local

authorities necessarily have to work towards more integrated ways of working with partners, and make changes to the ways in which families experience support interventions, in order for the programme to succeed and be sustained in the long-term.

• All case study areas reported being at the stage of

multi-agency working, (largely from work done in wave 1 of the programme). However, the progress

• f these relationships, processes and the

development of strategy for working with partners were at differing levels of maturity, underpinned by three key factors:

• Progress in developing processes which

supported multi-agency working

• Progress in engaging with partners
• How well the expanded programme aligned

with existing strategic ambitions in the context of government cuts. How does Barnsley compare?

• Multi-agency working appears to be at a

comparatively mature stage in Barnsley.

• A lot of work has been undertaken to

engage with a wide range of partners involved at the strategic level – this commenced during the early development

• f the new programme.
• Broadly speaking, partners seem to buy

into the programme.

• Partners understand the importance of

the principals of the programme. However, they are keen to ensure that the

• utcome indicators allow and encourage

them to work with the families that need help the most.

• In Barnsley, a challenge in multi agency

working is the variation in how data is

• collected. This area has been invested in as

part of the Expanded programme.

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Learning from best practice – what does ‘good’ look like at this early stage?

• Engaging partners – using various channels, and innovative

ways to secure buy-in (examples cited included hosting conferences and inviting families to speak about their experiences in front of partners).

• Data sharing – a dedicated person or people managing the

data matching process, and heavily involved in relationship management with key partners and stakeholders. Considering steps towards automating the process.

• Referral/assessment tools established and in place, with high

usage and awareness by a range of partner agencies.

• Local Outcomes Plans and Payment by Results embedded in

practice and agreed by a wide range of partner agencies

• Key/lead workers – initial steps taken towards ‘capacity

building’ across agencies and in some instances contributing directly towards delivery.

• Troubled Families Employment Advisers making an important

contribution by challenging assumptions about worklessness and ‘getting employability on the agenda’. Working with key/lead workers and families to help find employment and training opportunities.

“We’ve just had a number of Police Officers nominated to work with us in that way and we’re starting to look at their training”

Troubled Families Coordinator [unspecified location]

“[Payment by Results] has ensured that we genuinely work in an evidence-based way for each family and it’s enabled us to make sure that we’re very prudent about how we spend our money.”

Troubled Families Coordinator [unspecified location]

“When I inherited these teams [under the phase

• ne programme] and retrained them, the big

blockage was worklessness. They’d never worked on it, and that’s the same in social care. The feeling was that ‘worklessness isn’t our job, it’s somebody else’s job’.”

Troubled Families Employment Advisor [unspecified location]

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Experiences of data sharing and matching

In general:

• Currently, data matching and sharing systems are overwhelmingly

characterised by manual processes.

• According to the quantitative survey of Coordinators, almost every

local authority has at least one dedicated data analyst working

• n the programme. Around a quarter of local authorities said they

have two or more, reflecting the complexity of the role.

• Where data sharing seems to be working best is in areas where:
• Relationship management is a central part of the role,

helping partners to buy into the principle and see its value.

• Where analysts are sensitive to others’ workloads and try to

work around their commitments.

• Where the analyst works closely with the Troubled Families

Coordinator, particularly in relation to building relationships. In Barnsley

• Data sharing was a resource intensive challenge for Barnsley, particularly for working with partners

located externally to the core team. The expanded programme had also made data sharing more difficult due to the increase in complexity. The team invested in staff who had the capability to handle data.

• One key challenge is ensuring that partners based outside the central team record data in the same way

so that there is accurate and consistent recording of outcomes. “Interaction is easier between certain staff than others, and that may be due to others having a ridiculously massive workload, while others at that point in time might not. Getting the data from some people is fine; from others it can be a little bit more difficult, but it’s how you ask. It’s how you play it and how you ask those people to find the data.” Data analyst [unspecified location]

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Troubled Families Employment Advisers

Some key challenges…

• A context of some partners believing that employment criteria overriding
• thers could come at the expense of working through more/equally

important issues facing families.

• A feeling that employment issues are not the priority for many families

with complex issues, particularly among frontline workers. Employment did not feature heavily in conversations with family workers during the first wave

• f research, and it was clear for many that, in terms of sequencing, working

towards employment goals necessarily has to come later. …and suggestions for how to overcome them

• Troubled Families Employment Advisers have been used to help change

attitudes of frontline workers, holding sessions to teach them about the benefits system and upskilling in other ways to help address issues around employability.

• Positioning can be important. In one case study area, Employment Advisers

were embedded within the early help team which had helped to shift the mindset of those who had not previously considered employability to be a top priority.

• An understanding that, for Employment Advisers, this is a new way of

working, so is there perhaps an opportunity to shape their role as much as possible to align with the local programme.

“It’s all very well and good going in saying you need to get a job, but their mental health is so horrendous, they wouldn’t sustain a job even if they got one… everything else has got to be addressed [first].”

Keyworker [unspecified location]

“We’ve been a bit unfortunate with continuity, but the positive experience we’ve had, I think that initiative has enabled us… to put employability on the agenda. I would really campaign to expand that [initiative]”

Troubled Families Coordinator [unspecified location]

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Practitioner summary: Barnsley

• Barnsley is one of the more ‘mature’ case study areas, where multi-agency working

and early help working are at an advanced stage compared to other areas. This is partly due to the fact that many of the services were already working in this way.

• The partners we spoke to were positive about the aims and the strategic direction of

the programme. They believed that the aims to work with the whole family, and target early help were the right ones, and aims that they had been working towards. Troubled Families help them to continue with what they thought the best approach was. Ultimately they are aiming for a higher value model that can be delivered at a lower cost.

• There is variation in the levels of the partnership, with some partners described as

being more ‘on board’ than others. This seemed to be time-related with the partners who had been on board longest were the most committed and those who were new still lagging behind. There were also partners who seemed reluctant to be involved, mainly due to difficulties around data sharing.

• There was a sense from practitioners that the outcomes model could be a more

sophisticated tool. At the moment practitioners felt that the outcomes such as 90% attendance were arbitrary goals which did not measure the effort and time spent with a family. They felt that distance travelled tools may be a better indicator and also ensure that the expanded programme continues to help those most in need of help, and avoids “cherry picking” of families closest to the outcomes required.

• There were some concerns that the programme’s funding timespan of one year

doesn’t match the overarching long term aims.

“There’s a mismatch between the programme’s ambitions and the desire for long term

• change. We are dealing with

families with entrenched issues, they require long term intervention yet there’s only a commitment of one year for the programme. We have to deal with that and make sure we guard against doing the easy thing, as we want real

• impact. Sometimes the

programme can lead you down the easy path.”

Troubled Families practitioner [Barnsley]

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Experiences of Families in the new programme

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Initial engagement, assessment and goal setting

• Routes to Troubled Families services tended to be either directly from social workers

already attached to the family, or from social services via an agency that had raised

• concerns. More exceptionally, neighbours had reported families to social services,
• r families had self-referred – the latter typically relating to the behaviour of a child

that parent/s felt they could no longer cope with.

• In most cases there appeared to have been quick progression from initial referral

to assessment and support, though there was evidence of long delays in some instances, which families found frustrating.

• Fear and anxiety around the point of engagement, related to uncertainty about the

exact role of the keyworker, was a strong theme in family interviews. Whilst some families, building trust with the worker took weeks or months, workers often appeared to have been very successful in alleviating fears and providing reassurance during early visits.

• Recall of the assessment process was limited, though families did recall completing

self-report questionnaires such as the Family Star and noted that they had updated this periodically with their family worker.

• Overall, the assessment and goal setting elements of support appeared to be

family-led – consistent with views given in staff interviews.

• Goal setting could be an ongoing process as families and workers established

trust/ rapport. Families were positive about goal setting where they felt their specific goals were relevant, appropriate and personal to them.

“When we first met him he was quite reassuring and I wasn’t nervous about anything and, you know, like he puts your mind at ease because he’s like we’re not here to judge you, we’re here to just help you along” Mother [unspecified location] “I was concerned when she first came because I didn’t know what I could say to her and what I couldn’t..……It’s like a new face, it’s like someone interfering with your life that obviously you don’t know” Mother [unspecified location]

• From the keyworker perspective, engagement with the action planning process was reported to vary from family to

family, and often served as an early indicator of whether the family would fully engage with the service and go on to achieve positive outcomes.

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Types of support families were given

• Families described a range of things that keyworkers supported

them with on a day-to-day basis, such as parenting skills, getting children to school, addressing issues such as housing or debt, advocacy with schools and other agencies, and finding positive activities for children and young people.

• Signposting to mental health services was also mentioned, though in line

with the views of staff, some families identified difficulties in accessing the provision they felt they needed.

• Whilst families’ problems were often ongoing, as would be expected,

there was much evidence of positive impacts stemming from the keyworker support.

• Some families indicated that having a friend or advocate had built

their resilience and confidence to start tackling their issues, which aligns with views of staff who often pointed to empowerment of families as being the ultimate aim of the support.

• Employment support did not emerge as an area in which all families

felt that they wanted or needed support in. Some who were dealing with multiple complex issues wanted to return to work in the future but did not think that they were in the right place to look for work at the

• moment. Others pointed to practical barriers such as childcare, or poor
• qualifications. This aligned with views of keyworkers who indicated many

families they support are not ready for work and that other issues need to be addressed first.

Staff perspectives: parenting support

This was identified in the keyworker survey as the most common type of support they provided; with 82% indicating they provided this at least once a week. Keyworkers commonly offered parenting coaching in the home. A key intervention was in helping parents develop routines for leaving the house in the morning and for mealtimes, with charts and tools to support this. They also

• ffered advice on handling difficult behaviour –

particularly around setting boundaries. Whilst referrals to parenting courses were also said to be common, coaching in the home was felt to be important as it could be tailored to the particular family and responsive to parenting challenges as they arose. Keyworkers also identified that parents often had barriers to attending formal sessions – for example, feeling intimidated at the prospect of classroom learning, or even leaving the house.

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Family accounts of support: views of family workers and services

• Families typically described their keyworker as being similar to a supportive friend or mentor.
• Successful relationships were built through several key elements: trust, someone who was
• n their side, reliability, regular contact, and a non-judgemental attitude.
• Interviews suggested there was frequent, informal contact in line with a traditional Family

Intervention Project (FIP) model. Staff noted that this can be a key challenge for workers, who need to develop the skills to be able to both support families and also challenge them and set boundaries.

• Families recognised the principle of whole-family working and were positive where

keyworkers directly engaged with children to a significant extent – for example, through taking them out or signposting them to positive activities. These were said to relieve pressure in the home and give everyone some space.

• From the keyworker perspective, it was said that family working could also mean maintaining

regular contact with the children to ensure the worker had the ‘whole picture’ of what was happening in the family, for safeguarding reasons.

• Among families that discussed service withdrawal, some were comfortable with this on the

horizon, whereas others appeared to have concerns about how they wold cope without their keyworker.

• Whilst staff indicated they took steps to prepare families for withdrawal, some suggested their

services were time bound, which they did not necessarily support. Nonetheless it appeared that even where time limits had been applied there may be some flexibility afforded to keyworkers.

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Family experiences in Barnsley

Case study example – Troubled Families Employment support On the whole families were quite far away from thinking about re-entering the work

• place. This was typically because they were

dealing with complex issues at home, or they or their children had severe disabilities that made it more difficult for them to return to work. However one of the families had been supported in looking for work through their keyworker and through a regular adviser who they saw at the JobCentre Plus (JCP). In the family both parents were looking at returning to work. One parent had recently found work, through support from the keyworker and work coach at the JCP. However after a few weeks the contract had unfortunately ended and they had been made redundant. The other parent was also hoping to return to work at some stage. The keyworker has helped work on her confidence through getting involved in voluntary work and encouraging her to apply for jobs that would be suited to her. “Having someone come to the house,

someone to have a chat with about anything, feelings, how I cope, someone to give me advice on strategies to use with the kids” Parent (Barnsley) “Because I’ve been with [my keyworker] since I first self-referred, she knows the ins and outs of everything … she’s got to know me and family. She’s like an extra added member of the family.” Parent (Barnsley)

• Participants seemed to be referred onto the programme through other existing

support such as social workers, or had self referred.

• As at the national level, families tended to be initially wary of support. However,

they tended to be more receptive to someone who was not a social worker as they saw the keyworker as someone “on their side”.

• On the whole families were very positive about support they had received,

especially where they felt that it had been personalised to their goals, and where keyworkers employed a friendly informal approach to build up trust.

• In exceptional cases where the support did not seem to be working as well this

seemed to be where there were still multiple services involved and the keyworker model did not seem to be in place.

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Appendices

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Phase Phase 1 Case study 1 Case study areas areas

• Barnsley
• Cambridgeshire
• Leicestershire
• Manchester
• Newcastle
• North Tyneside
• Northamptonshire
• Thurrock
• Warwickshire

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Technical notes

• Fieldwork for phase 1: wave 1 was conducted over the period October 2015 – March 2016
• At the time of writing, 47 families and 67 staff and stakeholders have participated in the qualitative research,

across the nine case studies

• Case study areas were selected from the wave 1 and 2 early starters for the new Troubled Families
• programme. Whilst convenience was a factor in sampling (i.e. whether the local authority had capacity /

willingness to participate at that time), the final sample achieved a range of types of attributes in relation to: geography/ location, type of authority, local model, scale of local activity)

• Staff were sampled through discussions with Troubled Families Coordinators, with the aim of achieving a mix
• f strategic and delivery staff and key partners
• Families were sampled by local authorities under guidance from Ipsos MORI, with the aim of achieving a mix
• f intervention type/ intensity and issues experienced among the families
• The study has been underpinned by a Theory of Change for Troubled Families delivered at an earlier scoping

phase

• A detailed account of the methodology, and the topic guides used in the study, are included in the national

report

• This research has been conducted by skilled and experienced researchers. In conducting our fieldwork we

adhere to industry leading quality procedures surrounding data protection and ethical protocols. We are accredited to ISO 9001standard and are registered under the 1998 Data Protection Act for holding and processing ‘personal data’. We also possess current Generic Security Accreditation Documents (GSAD) and comply with MRS and GSR ethical protocols.

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